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813.780.0020 City Of Zephythitis Permit Application Fax-813-780-OUl <br /> Building Department <br /> Data Racelved Phone Contact for PerWttin <br /> Owner's Nalne S Owner Phone Number <br /> JJ�� y_ .,. ,tl <br /> ({T 1( �OJT 0.41 S `abj1 [hi� Owner Phone Number <br /> Owner's Address' ' <br /> Fee Simple Titleholder Name �— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB � (� <br /> JOB ADDRESS /"1 LOT#- <br /> SUBDIVISION. PARCEL IOfI l 0-'Zb, 7-1 OOLAD C 7 n��%t'7'L <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT ,t� SIGN C} C] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE _ SFR 0' COMM Q OTHER <br /> TYPE OF:CO.NSTAUCTION 0 BLOCK. Q FRAME STEEL = <br /> DESCRIPTION OF.WORK <br /> BUILDING SIZE SQ FOOTAGE "EIGHT <br /> err'ri-r'r-1�':rtTtaTtr-r.•".: __. _ . .,..,.; .. -- . . ..... . .... ; .. . R. <br /> =BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING. <br /> 1�6MECHANICAL $.: "'OG rC` VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q. SPECIALTY C7-1 OTHER <br /> FINISHED FLOOR ELEVATIONS. --`� FLOOD ZONE AREA' =YES NO ' <br /> .�•,..' +gyp-p44-16-U4-•. �a <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt, I YY I N' <br /> Address Ucense# ! <br /> ELECTRICIAN'. �' COMPANY <br /> SIGNATURE I REGISTERED Y/'N FEE dURRet.' Y/N <br /> Address .Ucense# T� <br /> PLUMBER � COMPANY �— — <br /> StGNASURE REGISTERED Y/N FEE CURREN ' "'YIN! <br /> . . . , <br /> Address License#C— <br /> MECHANICAL ` COMPANY t 1{� �]e..V VI <br /> SIGNATURE" ��' REGISTERED I Y/ N ' FEE CURREN YIN,` <br /> Address License# �; 7q (9 f- .. <br /> .. ��.�f..�,.. '—t—G—gyp <br /> Lam`! C1'I� t <br /> OTHER, COMPANY — <br /> SIGNATURIE REGISTERED I Y'/N' 'FEE CURREtT Y/N <br /> Address License# <br /> 1 1 l 1 1.1,11.1.11'111 it 11 i"l l fi l it l l 1.1.1 I l l 11'1 111111,1 111 11 i 1 1 i f i i'I'I <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans,(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requited onsite,Construction Plans,'Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus.a Life Safety Page;(1)set of Energy Forms.R-O.W Permit for new construction. <br /> Minimum tan(10)working days after submittal date. Required onsite,Construction Plans,Slonnwater Plans w/Silt Fence installed, ' <br /> Sanitary Facilities 81 dumpster.Site Work Permit for all new projects.All commercial requirements must meet oompflance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans: <br /> --PROPERTY SURVEY required for all NEW construction. <br /> : . <br /> D(,actIons:• <br /> Fill out application completely.. <br /> Owner&Contractor sign back of application,notarized. <br /> If over$2500,a Notice of.Comrnencement Is required; (AIC upgrade's over$7500) <br /> "• Agent(for the contractor)or.Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs If shingles - Sewers Service Upgrades,A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter.if on public roadways..needs ROW <br />